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Individual

MR. DAVID RAYBURN MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
620 EAST MEDICAL DRIVE #205, BOUNTIFUL, UT 84010
(801) 298-0057
(801) 298-9765
Mailing address
6360 S 3000 E, #220, SALT LAKE CITY, UT 84121-6923

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
7549046-1205
UT
208M00000X
Hospitalist Physician
44368
CO

Other

Enumeration date
07/06/2006
Last updated
06/09/2015
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